1. 4th Marine Air Wing CAPT Rick Snyder 4th MAW Flight Surgeon ------- USNAC 2015 12 January 2015 UNCLASSIFIED

2. Disclosure Statement I have no conflicts of interest I have nothing to disclose 2 UNCLASSIFIED

3. Background NAMI Flight Surgeon (FS) training class 88-003 –Classmate of Jay Dudley Three Active Component (AC) FS tours, 1989-1995 OM training and MPH USUHS, 1995-1997 Reserve Component (RC) FS since 2001 Current 4 th MAW Surgeon since 2013 Civilian Duties: –Corporate Medical Director United Airlines 2007-2012 –Medical Director Aetna 2012 to current: oversee FedEx, UPS, Republic, Atlas and netjets pilot disability programs 3 UNCLASSIFIED

4. 4 4th MAW Mission To augment, reinforce, and sustain the Active Component with an operational aircraft wing under a Total Force construct. 4 th MAW conducts daily distributed operations from 21 sites in 16 states. Regular ops tempo relief for 1 st, 2d & 3d MAWs - frags in support of I MEF, II MEF, III MEF, MARSOC, TECOM, USMC/USN/USAF adversary fighter support, etc. Comprised of approximately 7,000 Marines assigned to 4 groups, 20 squadrons, and 16 site commands. Assigned the following type/model/series aircraft: AH-1W, UH-1N/Y, CH-46E, CH-53E, MV-22B, F/A-18A++, F-5F/N, KC-130T/J, UC-12W, UC-35C/D and RQ-7B. 4 th MAW serves as “the shock absorber” for the Active Component MAWs – the model for developing enduring and habitual relationships with Active forces. UNCLASSIFIED

5. Active Component 1,630 Active Reserve 839 SMCR 4,493 Total 4 th MAW 6,962 + + = 5 4th MAW Laydown UNCLASSIFIED

6. 1.The Current Fight 2.Unit Deployment Program 3.Theater Security Cooperation 4.Pre-deployment Training Program 5.OPLANS / CONPLANS 6.Staff Augmentation 7.“The Shock Absorber” 8.Enduring & Habitual Relationships 6 4th MAW Priorities UNCLASSIFIED

7. 7 4th MAW Groups MAG-41 Conducts daily distributed operations from 8 sites in 6 states. Currently assigned the following rotary and fixed wing aircraft: KC-130T/J, F-5F/N, F/A-18A++, and MV-22B, RQ-7B. Comprised of approximately 2,600 Marines assigned to 8 squadrons. MAG-49 Conducts daily distributed operations from 7 sites in 7 states. Currently assigned the following rotary and fixed wing aircraft: KC-130T, AH-1W, UH-1N/Y, CH-46E, and CH-53E. Comprised of approximately 2,400 Marines assigned to 6 squadrons. MACG-48 Conducts daily distributed operations from 6 sites in 5 states. Assigned as 4 th MAW’s Command & Control group. Comprised of approximately 1,800 Marines assigned to 4 squadrons. MATSG-42 Conducts daily training operations in support of USMC Fleet Replacement Squadrons (FRS) and the Naval Aviation Training Command (CNATRA). Comprised of approximately 80 Marines supporting 7 FRSs and 5 Training Air Wings in 11 locations across 7 states. UNCLASSIFIED

8. UH-1Y HMLA-773 (JB MDL, Robins AFB, NAS JRB New Orleans) Initial A/C Acceptance: Apr 2014 IOC:2QFY15 FOC:TBD upon arrival of full PMAA 4 th MAW Transition Sequence JB MDL  Robins AFB  Belle Chasse AH-1Z HMLA-773 (JB MDL, Robins AFB, NAS JRB New Orleans) Initial A/C Acceptance:3QFY20 Fleet Transition Sequence West Coast  Hawaii  East Coast UAS VMU-4 (MCB Camp Pendleton, CA) RQ-21A transition: 4QFY15 IOC: 3QFY16 FOC: TBD upon arrival of full PMAA Seamless Integration in Support of Combatant Commanders MV-22B VMM-764 (MCAS Miramar, CA) Initial A/C Acceptance: Oct 2013 IOC:3QFY14 FOC:4QFY16 VMM-774 (NS Norfolk, VA) Initial A/C Acceptance: Jan 2016 IOC:2QFY16 FOC:2QFY18 Simulators: Funded via FY11/12 NGREA Norfolk Basing KC-130J VMGR-234 (NAS JRB Ft. Worth, TX) Initial A/C Acceptance: Mar 2014 IOC:4QFY15 FOC:TBD upon arrival of full PMAA VMGR-452 (Stewart ANGB, NY) Initial A/C Acceptance:~FY20 8 Next Generation Transitions UNCLASSIFIED

9. 9 Aeromedical Safety -Dynamic Hypoxia Training using the Reduced Oxygen Breathing Device (ROBD) in conjunction with aircraft simulators -NATOPS required adjunctive training (hypoxia, sensory physiology, laser safety, G-LOC, aeromedical aspects of egress/ejection, survival electronics, aviation CBR, etc.) -Laser Hazard Control Program (MCO 5104.1C) oversight, training & inspections -MAWTS-1 NITE Lab Supervisor & Instructor responsibilities -ALSS training, fleet assessments, requirements, & liaison with NAVAIR -Safety Investigation support specific to ALSS and physiological factors UNCLASSIFIED

10. Flight Surgeon Challenges Geographical – Most SELRES FS are remote from drill site/training squadron OK to NJ, MT to TX, GA to NY, NC to LA are a few examples Medical officer seniority (O5/O6) – Most are on short term orders (1 yr.) as all receive over grade waivers as billets JO coded Creates interruption in care continuum – Particularly in post APPLY period of November to January and often beyond. – Many RC docs become frustrated; some fail to go through APPLY process resulting in volunteer training unit (VTU) orders if they choose to stay in the reserve. – MFR medical leadership addressing APPLY program shortcomings/concerns. UNCLASSIFIED

11. UNCLASSIFIED Slide 11 Medical Support Challenges Need for new Flight Surgeons-always! - AC to RC fairly easy transition -See me if you are leaving active service or considering civilian/reserve career - RC RESFOR training limited -One 4 th MAW NAMI trainee in pipeline currently -Prior FS who want to get back in the fold CAN DO GMO/Mid-Levels are integrated within Wing support units/squadrons (MWSS) -most also very senior-same APPLY concerns -nearly all want to stay Green

12. Questions?? Contact: Rick Snyder CAPT, MC(FS), USNR ricky.snyder@usmc.mil ricky.snyder@navy.mil 207-831-8795 UNCLASSIFIED